Active NPI
Communicare, Inc.
- Mental Health Counselor
- Elizabethtown, KY
National Provider Identifier
1013961812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 80005
- Legal business name
- COMMUNICARE, INC.
- Practice address
- 107 Cranes Roost CT
Elizabethtown, KY 42701-3650 - Phone
- (270) 765-2605
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Wise
- Title
- Ceo
- Phone
- (270) 765-2605
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 80005 | KY | |
| Mental Health Counselor | 101YM0800X | 80005 | KY | Primary |
| Professional Counselor | 101YP2500X | 80005 | KY | |
| Clinical Psychologist | 103TC0700X | 800005 | KY | |
| Counseling Psychologist | 103TC1900X | 800005 | KY | |
| Social Worker | 104100000X | 80005 | KY | |
| Clinical Social Worker | 1041C0700X | 80005 | KY | |
| Marriage & Family Therapist | 106H00000X | 800005 | KY | |
| Psychiatry Physician | 2084P0800X | 800005 | KY |
Addresses
Primary practice location
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000758 | KY | Part B Supplier - Clinic/Group Practice | 9830097815 |
Receives reassigned benefits from 48 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hodgenville, KY; Lebanon, KY; Radcliff, KY; Springfield, KY; Leitchfield, KY; Elizabethtown, KY; Bardstown, KY; Brandenburg, KY… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1041496 | Communicare, Inc | Certificate of waiver | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1013961812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CRANES ROOST CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013650",
"telephone_number": "270-765-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CRANES ROOST CT",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427013650",
"telephone_number": "270-765-2605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNICARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "WISE",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "270-765-2605"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "80005",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "80005",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "KY",
"license": "80005",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "800005",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "KY",
"license": "800005",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "KY",
"license": "80005",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "80005",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "800005",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "800005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.